A nurse is caring for a client who is obese and is prescribed a calorie reduction of 500 fewer calories per day. The nurse should expect the client to have which of the following rates of weight loss?
0.45 kg (1 lb)/day.
0.45 kg (1 lb)/week.
0.23 kg (0.5 lb)/week.
0.23 kg (0.5 lb)/day.
The Correct Answer is B
Choice A rationale:
A rate of 0.45 kg (1 lb)/day is an extremely rapid weight loss rate that is not realistic or safe for most individuals. Such a rapid weight loss could lead to muscle loss, nutrient deficiencies, and other health complications.
Choice B rationale:
This choice is the correct answer. A weight loss rate of 0.45 kg (1 lb)/week is generally considered a safe and sustainable rate. This gradual weight loss allows the body to adjust and minimize the risk of adverse effects commonly associated with rapid weight loss.
Choice C rationale:
A weight loss rate of 0.23 kg (0.5 lb)/week is even slower than the recommended rate in choice B. While it might be very cautious, it might not provide the client with the desired progress in a reasonable timeframe.
Choice D rationale:
A rate of 0.23 kg (0.5 lb)/day is another unrealistic and rapid weight loss rate. It's not a sustainable approach and could lead to various health issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Boiled eggs are appropriate for a client with cholecystitis. Cholecystitis involves inflammation of the gallbladder, and fatty foods can exacerbate symptoms. Boiled eggs are a lean protein source that doesn't contain added fats, making them suitable for the client's dietary restrictions.
Choice B rationale:
Banana muffin is not an optimal choice for a client with cholecystitis. Muffins, especially those made with added fats and sugar, can be high in calories and fats that may worsen symptoms of cholecystitis.
Choice C rationale:
Ground beef is not recommended for a client with cholecystitis due to its higher fat content. Fried or fatty foods can trigger discomfort and worsen the condition. The client should focus on lower-fat protein sources.
Choice D rationale:
Brown rice is a better choice than some other grains, but it might still be too heavy for a client with cholecystitis. It's preferable to prioritize easily digestible and lower-fat foods to alleviate symptoms.
Correct Answer is C
Explanation
Choice A rationale:
Salami. Salami is a processed meat product that is typically not recommended for individuals with celiac disease. It might contain additives, preservatives, and flavorings that could potentially contain gluten or cross-contamination. While the primary concern in celiac disease is gluten, it's also important to avoid processed meats due to potential hidden sources of gluten.
Choice B rationale:
Wheat germ. Wheat germ is derived from wheat and therefore contains gluten. For individuals with celiac disease, avoiding all sources of gluten is crucial to prevent immune reactions and damage to the intestines. Recommending wheat germ to a client with celiac disease would be contradictory to their dietary needs.
Choice C rationale:
Corn. Corn is a gluten-free grain and is a safe choice for individuals with celiac disease. It is a versatile food ingredient that can be used in various forms, such as cornmeal, cornstarch, and corn flour. Corn does not contain gluten and can be included in a gluten-free diet without any adverse effects.
Choice D rationale:
Barley. Barley is a gluten-containing grain and should be avoided by individuals with celiac disease. It contains gluten proteins that can trigger immune responses and cause damage to the small intestine. Including barley in the diet of a client with celiac disease would worsen their condition and lead to gastrointestinal symptoms.
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